A Year of Progress: 2025 Impact Report
For more than 30 years, IHI has partnered with health systems, governments, and communities to improve quality, safety, and equity. The 2025 Impact Report reflects how we are advancing that mission today and evolving to meet what comes next. Across six continents, IHI works with leaders and organizations to turn improvement science into measurable results, helping create safer care, healthier populations, and stronger health systems.
How IHI Strengthens the Foundations of Better Health Care
Consulting Partnerships
Education & Training
Networks & Convenings
— Sylvia Trent-Adams
IHI President & CEO
IHI President & CEO
“IHI exists to connect knowledge, people, and action — turning opportunity into measurable improvement. Trust is central to our impact. IHI is trusted because our work is grounded in evidence, co-created with partners, and focused on real-world results.”
Real Results from Around the World
IHI works with partners across countries, care settings, and communities to turn improvement methods into measurable results. These stories show how collaboration, local leadership, and proven improvement approaches can help health systems reduce harm, strengthen care delivery, and improve outcomes at scale.
36% Reduction in Postoperative Mortality (Africa)
Across participating hospitals in Africa, the Saving Lives After Surgery initiative helped teams strengthen surgical safety and reduce preventable deaths after surgery.
60% Reduction in Sepsis Incidence (Latin America)
Through the Golden Hour initiative, teams supporting children with cancer across Latin America improved early recognition and response to sepsis, helping deliver safer, more reliable care.
3 Consecutive “Outstanding” Ratings (UK)
East London NHS Foundation Trust became the first organization in England to achieve three consecutive national “Outstanding” ratings, demonstrating sustained system-wide improvement.
Expertise with Global Reach
IHI has worked in 62 countries globally, with teams on 6 continents.
Consulting and implementation support is tailored to meet your goals and accelerate improvement.
Select a region to view examples of our consulting work.
Africa
Saving Lives After Surgery
Multiple countries in AfricaPartnership with University of Cape Town, Queen Mary University of London, and the UK’s National Institute for Health and Care Research to build an effective, scalable model of care to reduce postoperative mortality in African hospitals by 25 percent.
Ethiopia National Health Care Quality Strategy
EthiopiaPartnership with the Ethiopian Federal Ministry of Health, with support from the Bill & Melinda Gates Foundation and Margaret A. Cargill Philanthropies, to foster a culture of quality throughout the Ethiopian health system and reduce maternal and neonatal mortality.
Project Fives Alive!
GhanaPartnership with Ghana Health Service and the National Catholic Health Service, funded by the Bill & Melinda Gates Foundation, to reduce under-5 mortality and morbidity in Ghana.
Asia–Pacific
National Preterm Birth Prevention Collaborative
AustraliaPartnership with Safer Care Victoria, the Australian Preterm Birth Prevention Alliance, and Women’s Healthcare Australia to safely reduce the rate of preterm and early birth by 20 percent across Australia.
Timely Emergency Care Collaborative
AustraliaPartnership with Victoria State Government’s Department of Health to improve patient flow and reduce the length of stay in participating hospital emergency departments by 15 percent for non-admitted patients and by 20 percent for admitted patients.
Accelerating Quality Improvement
SingaporePartnership with Singapore’s Ministry of Health to build capacity and capability for quality improvement across Singapore’s health system.
Service Delivery Redesign with People and Provider
BangladeshPartnership with the World Bank and Mass Design to understand women’s childbirth care-seeking behaviors and design solutions to improve maternal and newborn healthcare facility use.
Europe
Building a Culture of Improvement
EnglandPartnership with East London NHS Foundation Trust, a provider of community health, mental health, primary care, and specialist services, to teach and embed quality improvement methodology throughout the Trust.
Reduce Race-Related Maternal and Neonatal Mortality and Morbidity
EnglandPartnership with the UK’s Health Foundation and NHS Race & Health Observatory to reduce race-related maternal and neonatal mortality and morbidity by designing and testing change packages in four focus areas: postpartum hemorrhage, maternal mental health, preterm births, and gestational diabetes.
STOP Hospital Infection!
PortugalPartnership with The Gulbenkian Foundation and the Portuguese government to reduce four common hospital-acquired infections — ventilator-associated pneumonias, surgical site infections, catheter-associated urinary tract infections, and central line-associated bloodstream infections — by 50 percent in 12 hospitals.
Latin America
“Golden Hour” Improvement Science in Action
11 countries across Latin AmericaPartnership with St. Jude Global to increase the percentage of febrile pediatric hemato-oncology patients (PHOPf) who present to the emergency room (or equivalent) and who receive the first dose of antibiotic in less than 60 minutes.
CuidARTE Collaborative
MexicoPartnership with Amexcasep with funding from Johnson & Johnson Foundation, this Breakthrough Series Collaborative aims to increase levels of joy in work and thriving from work in 25 secondary and tertiary care hospitals in Mexico.
Cuidado Integral a Saúde (Comprehensive Health Care)
BrazilPublic-private partnership in Brazil aimed at improving primary care within the private health care system, moving from Demonstration (Phase 1) to Adaptation (Phase 2).
Middle East
Strategic Partnership with Hamad Medical Corporation
QatarA multi-year partnership, initiated in 2013, to improve safety and quality throughout Hamad Medical Corporation, with the latest phases of work focusing on value improvement, age-friendly care, and system-wide patient flow.
Age-Friendly Health Systems: Saudi Arabia
Saudi ArabiaBreakthrough Series Collaborative in partnership with the Kingdom of Saudi Arabia’s Ministry of National Guard Health Affairs to implement an Age-Friendly Health Systems approach to improving care for older adults.
North America
HealthyNYC
USAPartnership with New York City’s Department of Health to improve life expectancy in New York City to age 83 by 2030 by focusing on seven major causes of death: cardiometabolic diseases, screenable cancers, COVID-19, opioid overdose, suicide, homicide, and maternal mortality.
Medi-Cal Child and Behavioral Health Collaboratives
USAPartnership with California’s Department of Heath Care Services to build capability and capacity in applying quality improvement and equitable care tools and methods in all 26 of California’s Managed Care Plans.
Lung Transplant Collaborative
USAPartnership with Lung Bioengineering (part of United Therapeutics) to increase the volume of lung transplants, using a Breakthrough Series Collaborative approach, by 30 percent across nearly half of all lung transplant programs by June 2026.
Looking Ahead: from Impact to Momentum
Together with our partners, we are building capability, accelerating learning, and advancing the tools, methods, and knowledge needed to drive meaningful change. We look forward to continuing these conversations and collaborations at the 2026 IHI Forum, where health care leaders from around the world will come together to share ideas, learn from one another, and shape the future of health and health care.
Explore the Impact Report